Mado Healthcare - Buena Park

LBN: Nine Forty Cullom Corporation
Mado Healthcare - Buena Park is an health care organization with primary practice located at 940 W Cullom Ave , Chicago IL 60613. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Nine Forty Cullom Corporation can be contacted via phone (773) 525-9000, or through Obrien, Peter J via phone (312) 787-9400.

Contact Information

Primary practice address
940 W Cullom Ave Chicago IL 60613
Phone: (773) 525-9000
Fax: (773) 525-8016
Website:
Map and Directions
Authorized official contact:
Name: Obrien, Peter J
Phone: (312) 787-9400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 0017178 Illinois

Profile Details

NPI number 1912998188
LBN Legal business name Nine Forty Cullom Corporation
DBA Doing business as Mado Healthcare - Buena Park
Authorized official Obrien, Peter J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 15th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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